BERNADETTE CLARK (NPI# 1134526353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134526353 |
| Entity Type | Individual |
| Full Name | BERNADETTE CLARK |
| Other Name | BERNADETTE MARIE RUDELLA |
| Credential | LDN |
| Practice Address |
809 Turnpike Ave Clearfield PA 16830-1232 |
| Practice Telephone | 8147655341 |
| Practice Fax Number | 8147682043 |
| Mailing Telephone | 8143420676 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN001432 | PA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | REGISTERED DIETICIAN ID NUMBER | 495510 | 01 |
| PA | LICENSE NUMBER | DN001432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417410317 | Bernadette Clark | Case Manager/Care Coordinator | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2019-04-09 |
| 1164883963 | Bernadette Clark | Registered Nurse | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2016-03-08 |
| Street Address |
809 TURNPIKE AVE |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009844 | Richard G Williams | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2005-08-02 |
| 1578032678 | Clearfield Hospital | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2018-11-19 |
| 1831613298 | John William Gonzalez Jr. | Nurse Practitioner | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2017-07-27 |
| 1487088340 | Victoria Adams | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-28 |
| 1568896603 | Clearfield Emergency Group PC | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-26 |
| 1215369848 | Olivia Neeper | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-06 |
| 1255697645 | Brooke Susan Bias | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2012-04-10 |
| 1699046383 | Jessica L Poole | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2012-01-26 |
| 1063780823 | Clearfield Hospital | Social Worker | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2011-12-08 |
| 1528345261 | Annette Ann Temchak-olszewski | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2011-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 16830 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.